HomeMy WebLinkAboutDrain Layers Permit 10 Stedman Circle TOWN OF 'SOUTH WINDSOR INSPECTION REPORT
Permit No. 6828 Contractor WILCOX, MICHAEL (EAGLE)
Location 10 STEDMAN CIRCLE Address EAGLE EARTHWORK SERV.
Type Work NEW SAN LAT 101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No. (860)693-2027
Date Insp Needed �3ate° Is�sp >
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Time Insp Needed
Inspected By
Work in Progress
t Date
?ermit No. 6828 Town of South Windsor, CT
)ermit Date 06/04/1998 Drain Layer Permit
xpiration Date 07/04/1998
)escrip: USER FEE PAID-RECEIPT #78
Applicant Location
Vame WILCOX, MICHAEL (EAGLE) Addr . 10 STEDMAN CIRCLE
4ddr . EAGLE EARTHWORK SERV. owner MANNARINO BLDRS.
101 N MOUNTAIN ROAD
CANTON CT 06019
Phone No. (860)693-2027
The Drain Layer assigned this permit has a valid 1i:pense issued by the
state and hereby agrees 'tp, al-1 the terms end co,10 i'tions set forth in the
attached 'Conditions' . All Mork shal"1 be in acGardal�ce: with Town of South
Windsor standards , all OS,HA��r4quirements.9 end the< attched conditions .
Issued By _ = -
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Date Inspected �D Z-�_g Inspected BY _�
TOWN OF SOUTH WINDSOR
SANITARY SEWER LATERA FIELD LOCATION
DATE OF CONSTRUCTION.BUILDING ADDRESS
IJ STREET : OtAb"M AAl
SUBDIVISION: le r '
NORTH ARROW
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CONTRACTOR PRINT) NAME FNTRACT R'S PERVISOR (PRINT)
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STREET ADDRESS SIGNAT
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TOWN / �STATE ZIP INSPECTED BY TOWN
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612 -7 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
APPLICATION FOR DRAIN LAYERS PERMIT6��
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
' TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE$25.00
Location of proposed work: ,-) l�l �t Lot #
Street No. Street Name
Premises owned by: 11 i 1 a- " 1 o 11' 61
Name of Firm: � Phone: Q
Address of Firm: 0 fi vl - 17
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TYPE OF WORK:
Lay House Drain _; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
Ci
Connection will be made with. f ve-
Proposed Start Date Estimated time for completion
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR
STANDARDS, ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO
THE PERMIT
Permit is to be issued to A J(v- the holder of Drain
layer's License No. 2;7e1j ' . Only holders of Pl, P7 & W9 licenses will be
issued a permit. Permit will expire thirty (30) days after date of issuance. The
undersigned Drain Layer hereby agrees to all the terms and conditions set forth
in the permit and attached thereto. Applicant has received Town Street
Excavation Permit No. and/or ConnDOT Permit No.
�U�
Si9 ned: �`� L(/ �-�r� Print Name � K�' c ���X
Licensed Drain Layer
Date: ��_ , _ `>